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A Prospective Study of Mental Health, Well-Being, and Substance Use During the Initial COVID-19 Pandemic Surge
Clinical Psychological Science ( IF 4.8 ) Pub Date : 2021-06-02 , DOI: 10.1177/21677026211013499
Katherine C Haydon 1 , Jessica E Salvatore 2
Affiliation  

The COVID-19 pandemic has dramatically altered everyday life worldwide, and some individuals may be at increased risk for pandemic-related distress. In a U.S. community sample (N = 236, 64% female; 78% White; mean age = 30.3 years) assessed before COVID-19 and during the initial surge, we examined, prospectively, whether pandemic disruptions and a history of adverse childhood experiences (ACEs) were associated with changes in depressive symptoms, stress, sleep, relationship satisfaction, and substance use over time and with concurrent anxiety and peritraumatic distress. Negative pandemic-related events were associated with significantly higher depressive symptoms and stress and lower satisfaction over time as well as higher concurrent anxiety and peritraumatic distress. ACEs were associated with more negative pandemic-related events, which, in turn, associated with higher peripandemic depressive symptoms, stress, anxiety, and peritraumatic distress. Findings underscore that COVID-19 disruptions are associated with greater distress and that childhood trauma is a key axis of differential risk.



中文翻译:

在最初的 COVID-19 大流行期间对心理健康、幸福感和物质使用的前瞻性研究

COVID-19 大流行极大地改变了全世界的日常生活,一些人可能面临与大流行相关的痛苦的更大风险。在美国社区样本中(N= 236,64% 女性;78% 白色;在 COVID-19 之前和最初的激增期间评估的平均年龄 = 30.3 岁,我们前瞻性地检查了大流行中断和不良童年经历 (ACE) 的历史是否与抑郁症状、压力、睡眠、关系满意度的变化有关,随着时间的推移和物质使用,并伴有焦虑和创伤后痛苦。随着时间的推移,与大流行相关的负面事件与显着更高的抑郁症状和压力、更低的满意度以及更高的并发焦虑和创伤后痛苦相关。ACEs 与更多的负性流行病相关事件相关,而这些事件又与更高的流行性抑郁症状、压力、焦虑和创伤后痛苦相关。

更新日期:2021-06-02
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